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Individual

JACKIE A CLOWES

Active
Sole proprietor
No

Provider details

NPI number
Gender
F
Credential
MD PHD

Contact information

Practice address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858
Mailing address
1 GUTHRIE SQ, SAYRE, PA 18840-1625
(570) 888-5858

Taxonomy

Speciality
Code
Description
License number
State
207RR0500X
Rheumatology Physician
Primary
50234
MN

Other

Other identifiers
Code
Description
Identifier
Issuer
State
05
729443000
MN
Enumeration date
07/03/2007
Last updated
07/22/2010
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